Provider Demographics
NPI:1760501233
Name:EXPERT SMILES, INC
Entity Type:Organization
Organization Name:EXPERT SMILES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MALINDA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:DICE-SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MPH
Authorized Official - Phone:301-985-9100
Mailing Address - Street 1:7307 BALTIMORE AVE
Mailing Address - Street 2:SUITE 114
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-3231
Mailing Address - Country:US
Mailing Address - Phone:301-985-9100
Mailing Address - Fax:301-927-1500
Practice Address - Street 1:7307 BALTIMORE AVE
Practice Address - Street 2:SUITE 114
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-3231
Practice Address - Country:US
Practice Address - Phone:301-985-9100
Practice Address - Fax:301-927-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD102581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty